单侧穿刺椎体成形术治疗Kummell病的效果观察

Effect of unilateral puncture vertebroplasty in the treatment of Kummell's disease

目的:分析用单侧穿刺椎体成形术治疗陈旧性椎体骨折骨不连(Kummell病)的临床效果。方法:对2016年7月至2018年6月武警安徽省总队医院收治的48例Kummell病患者的临床资料进行回顾性分析。将这些患者随机分为对照组和观察组。为对照组24例患者采用保守疗法进行治疗,为观察组24例患者采用单侧穿刺椎体形成术进行治疗。然后比较两组患者的VAS评分、ODI评分和骨密度。结果:1)在治疗前,两组患者的VAS评分、ODI评分相比,P>0.05。在治疗后1周、1个月、3个月、6个月,观察组患者的VAS评分、ODI评分均低于对照组患者,P<0.01。2)在治疗前和治疗后1周,两组患者的骨密度相比,P>0.05。在治疗后1个月、3个月、6个月,观察组患者的骨密度均高于对照组患者,P<0.05。结论:用单侧穿刺椎体成形术治疗Kummell病的效果显著,可有效地缓解患者腰背疼痛的症状。

objective:to analyze the clinical effect of unilateral puncture vertebroplasty in the treatment of nonunion of old vertebral fractures(Kummell's disease).Methods:a retrospective analysis was performed on the clinical data of 48 Kummell patients admitted to anhui armed police corps hospital from July 2016 to June 2018.The patients were randomly divided into control and observation groups.For the control group,24 patients were treated with conservative therapy,and for the observation group,24 patients were treated with unilateral puncture vertebral body formation surgery.VAS score,ODI score and bone mineral density were then compared between the two groups.Results:1)before treatment,the VAS score and ODI score of the two groups were compared,with P>0.05.At 1 week,1 month,3 months and 6 months after treatment,VAS score and ODI score of the observation group were lower than those of the control group(P<0.01).2)bone mineral density of the two groups before and 1 week after treatment was 0.05.At 1,3,and 6 months after treatment,bone mineral density in the observation group was higher than that in the control group(P<0.05).Conclusion:unilateral puncture vertebroplasty is effective in the treatment of Kummell's disease.